| Dr Lisa Kohorn, MD | |
|
1100 W Stewart Dr, Sjh-dept. Of Pathology, Orange, CA 92868-3849 | |
| (714) 771-8176 | |
| Not Available |
| Full Name | Dr Lisa Kohorn |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1100 W Stewart Dr, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720097066 | NPI | - | NPPES |
| G70187 | Other | CA | LICENSE |
| 00G701870 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G70187 (California) | Primary |
| Entity Name | Newport Harbor Pathology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790711927 PECOS PAC ID: 1456312396 Enrollment ID: O20041022001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Kohorn, MD 5856 Corporate Ave, Suite 200, Cypress, CA 90630-4754 Ph: (714) 229-7619 | Dr Lisa Kohorn, MD 1100 W Stewart Dr, Sjh-dept. Of Pathology, Orange, CA 92868-3849 Ph: (714) 771-8176 |
Qun Wang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S Bldg 1, Orange, CA 92868 Phone: 714-456-6141 | |
Maryam Ahmadi, MD Pathology Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888 | |
Richard S Newman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Arjun Tudi Reddy, MD, MBA Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S Rm 3003, Orange, CA 92868 Phone: 714-506-0737 | |
Xiaohui S Zhao, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-2986 | |
Dr. Cassiana Euzebio Bittencourt, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5439 | |
Dr. Thomas Joseph Lawton, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |